Active NPI
Senior Script Pharmacy, LLC
- Long Term Care Pharmacy
- Denham Springs, LA
National Provider Identifier
1952835753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY.007501-IR
- Legal business name
- SENIOR SCRIPT PHARMACY, LLC
- Practice address
- 26737 La Highway 1032
Denham Springs, LA 70726-4926 - Phone
- (318) 443-9195
- NPI assigned
- Apr 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Mahfouz
- Title
- Managing Member
- Phone
- (318) 443-9195
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | PHY.007501-IR | LA | Primary |
Addresses
Primary practice location
26737 La Highway 1032
Denham Springs, LA 70726-4926
Mailing address
1412 Centre CT
Suite 503
Alexandria, LA 71301-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2205331 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506297600000",
"number": "1952835753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 CENTRE CT",
"address_2": "SUITE 503",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26737 LA HIGHWAY 1032",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264926",
"telephone_number": "318-443-9195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR SCRIPT PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-18",
"last_updated": "2017-09-25",
"status": "A",
"authorized_official_last_name": "MAHFOUZ",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "318-443-9195"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "LA",
"license": "PHY.007501-IR",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2205331",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.